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Organization
PAUL MIKELS LMSW LLC
Active
Organization
PAUL MIKELS LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL W. MIKELS LMSW (SOLE PROPRIETOR)
(419) 250-0169
Entity
Organization
Contact information
Practice address
986 S. TELEGRAPH RD, MONROE, MI 48161
(419) 250-0169
(734) 848-2040
Mailing address
10860 VICTORY RD, ERIE, MI 48133-9755
(419) 250-0169
(734) 848-2040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801061152
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00762120
MEDICARE PTAN
—
Enumeration date
05/04/2012
Last updated
05/04/2012
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